Individual provider Active NPI

William Andrew Schwarz II, MSN, APRN, APN-BC

  • Adult Health Nurse Practitioner
  • South Salt Lake, UT
National Provider Identifier
1730201245
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
350245-4405 Issued in UT
Practice address
2880 S Main St Ste 108
South Salt Lake, UT 84115-6000
Phone
(240) 356-1000
Fax
(801) 701-7101
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 350245-8900 UT
Adult Health Nurse Practitioner 363LA2200X 350245-4405 UT Primary

Addresses

Primary practice location

2880 S Main St Ste 108
South Salt Lake, UT 84115-6000

Mailing address

2880 S Main St Ste 108
South Salt Lake, UT 84115-6000
Phone (406) 359-1760

Other identifiers 1

IdentifierTypeStateIssuer
HT001513-049MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address greenhealthdocswilliam@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081017000618 UT Practitioner - Nurse Practitioner 7517025612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
350245-4405UTMDAdult Health Nurse Practitioner
350245-8900UTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Family Clinic Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1730201245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 S MAIN ST STE 108",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841156000",
            "telephone_number": "406-359-1760",
            "fax_number": "801-701-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 S MAIN ST STE 108",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841156000",
            "telephone_number": "240-356-1000",
            "fax_number": "801-701-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZ",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MSN, APRN, APN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "350245-8900",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "350245-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HT001513-049",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greenhealthdocswilliam@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2880 S Main St Ste 108",
            "city": "South Salt Lake",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841156000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Salt Lake, UT

Sources for this page

Verify at the official NPI Registry.